MEDICARE: HEARTCARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CD9091	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447295100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTCARE, INC.

Provider Business Mailing Address
First Line	:	765 N HAMILTON RD
Second Line	:	SUITE 120
City	:	GAHANNA
State	:	OH
Zip	:	43230-8703
Country	:	US
Telephone Number	:	614-337-9800
Fax Number	:	614-337-9591

Provider Business Practice Location Address
First Line	:	6024 HOOVER RD
Second Line	:	SUITE G
City	:	GROVE CITY
State	:	OH
Zip	:	43123-8133
Country	:	US
Telephone Number	:	614-337-9800
Fax Number	:	614-337-9591

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRUCE L FLEISHMAN
Credential	:	M.D.
Telephone Number	:	614-337-9800

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	07/30/2008

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Directions to “HEARTCARE, INC. ” Practice Location

Language	Start Address	Practice Location

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